PAUL R SUMMERSIDE MD - Medical Doctor License in Wisconsin | # 036074503

PAUL R SUMMERSIDE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074503

License Status

NOT RENEWED

Business

N

First Name

PAUL

Middle

R

Last Name

SUMMERSIDE

Suffix

MD

Business Name

PAUL R SUMMERSIDE MD

Original Issue Date

02/16/1987

Effective Date

02/16/1987

Expiration Date

07/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

11/09/2011